| NPI | 1457846370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2020-1079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM RS2018-0568) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-09-28 |